年轻的乳腺癌患者在后续随访中面临独特的问题。我们开发了一个计划，将年轻的乳腺癌幸存者引导到专门的幸存者访问，并评估了他们的经验。在完成乳腺手术、化疗和/或放疗后的1年内被诊断为45岁以下的早期乳腺癌患者被系统地转介进行幸存者访问。患者完成了一次性的访后调查，了解他们的经验。在89名符合条件的患者中，有69人（78％）参加了幸存者访问，并有其中的40人（58％）完成了访后调查。大多数受访者在完成治疗后才了解到幸存者诊所（30/40; 75%），并表示幸存者访问的时间在随访护理中是适当的（26/40; 65%）。在34位报告接收到治疗摘要和幸存者护理计划的受访者中，有30人表示在拜访他们的初级护理提供者时会有所帮助（88.2％）。参与者报告获得了有关癌症治疗（28/38; 73.7％）、副作用（32/39; 82.1％）和癌症监测（30/40; 75％）的宝贵知识，并讨论了情绪健康（32/40; 80％）、运动（38/40; 95％）和持续的癌症监测（32/37; 86.5％）。有几位报告表示有意在随访肿瘤治疗（8/20; 40％）、锻炼计划（16/30; 53.3％）和情绪健康护理（15/22; 68.2％）中进行改变。幸存者访问导航对于年轻的乳腺癌患者来说是可行的。这些访问可以影响知识的获取和拟定的未来健康计划和行为。系统性的幸存者护理方法可能会提高癌症幸存者的身心健康。有关幸存者的未来医疗交付研究是有必要的。版权所有 © 2023 Elsevier Inc. 保留所有权利。

Young women treated for breast cancer experience unique concerns in follow-up. We developed a program to direct young breast cancer survivors to a dedicated survivorship visit and evaluated their experience.Early-stage breast cancer patients diagnosed under age 45 within 1 year of completing breast surgery, chemotherapy and/or radiation therapy were systematically referred for a survivorship visit. Patients completed a one-time, post-visit survey about their experience.Sixty-nine out of 89 (78%) eligible patients attended a survivorship visit, and 40 of those 69 (58%) completed the post-visit survey. Most respondents learned about the survivorship clinic after completing treatment (30/40; 75%) and reported the survivorship visit occurred at an appropriate time in their follow-up care (26/40; 65%). Of the 34 respondents who reported receiving a treatment summary and survivorship care plan, 30 indicated it would be helpful when visiting their primary care provider (88.2%). Participants reported gaining valuable knowledge about cancer treatment (28/38; 73.7%), side effects (32/39; 82.1%), and cancer surveillance (30/40; 75%), and discussed emotional health (32/40; 80%), exercise (38/40; 95%), and ongoing cancer surveillance (32/37; 86.5%). Several reported intentions to make changes to their follow-up oncology care (8/20; 40%), exercise routines (16/30; 53.3%), and emotional health care (15/22; 68.2%).Survivorship visit navigation is feasible for young breast cancer patients. These visits can influence knowledge gained and intended future health plans and behaviors. Systematic approaches to survivorship care may improve the physical and mental health of cancer survivors. Future health care delivery research focused on survivorship is warranted.Copyright © 2023 Elsevier Inc. All rights reserved.